HomeMy WebLinkAbout0152786 - Building (roof) CITY OF OSHKOSH No 152783
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 516 W 16TH AVE Owner JACK USHELLY L FARVOUR JR Create Date 10/05/2012
Designer
Contractor JE QUALITY EXTERIORS — ---
Inspector Nicole Krahn
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--- Plan
Category 041 -Residential Roofing --
C
Sign — 0 Canopy 0 Fence 0 Raze
Type � Building - -- 0 9 - -
_
Class of Const: Size
Zoning R-2 _ _—_
Hei ht Ft. ❑ Projection j
Unfinished/Basement Sq.Ft. Rooms g
Canopies
Finished/Living Sq.Ft. Bedrooms Stories –_—
Signs
Garage Sq.Ft. Baths _ — —
Poured Concrete 0 Floating Slab 0 Pier 0 Other
Foundation
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
g
#Dwelling Units 0 #Structures 0
Park Dedication Not Required
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING ON THE HOUSE AND GARAGE DUE TO HAIL DAMAGE-NO STRUCTURAL
of Work CHANGES **check#1140
L
HVAC Contractor — --_ Plumbing Contractor
Electric Contractor --
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7,500.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00
brinU Fees: Valuation _ p Date 10/05/2012 Final/O.P. 00/00/0000
Issued By:
❑ Permit Voided Parcel Id# 1301330000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no author' to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit applicati•• Rh., an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to ure any •-cess- a�• • •efore starting such activity.
I have read ,e t. d th- - or--'' one 40 tion. 4� s ��
i ��� Date
Agent/Owner
Address 35 : OSHKOSH WI 54902 - 0000 Telephone Number (920)376-6808
— —----
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 OfHK01H
Fax:(920)236-5084
ON THE WATER
Roofing & Siding Permit Application
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifyou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
i
JOB ADDRESS 5 16 \A). 16,4-k Ve___
OWNER C C !' GcVG'V, (�
CONTRACTOR 71.3- ( jL lxA\„ y
I am the: ❑ Owner OR Contractor
USE Xi-Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
"Tear off and replace existing roofing on house, garage
El Replace wood decking
❑Add 1 layer of roofing to the existing layer(s)on❑house,❑garage
This work is being done due to (Hail Damage ❑Other
SIDING
❑Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ 75 00 (include fair market price for labor even if you are not paying for labor) 03/02